Provider Demographics
NPI:1841896966
Name:ACHIFE, JOVITA (RPH)
Entity type:Individual
Prefix:
First Name:JOVITA
Middle Name:
Last Name:ACHIFE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 S 17TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:TX
Mailing Address - Zip Code:77486-3723
Mailing Address - Country:US
Mailing Address - Phone:979-345-5119
Mailing Address - Fax:
Practice Address - Street 1:701 S 17TH ST
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:TX
Practice Address - Zip Code:77486-3723
Practice Address - Country:US
Practice Address - Phone:979-345-5119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-06
Last Update Date:2020-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43805183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist